HomeMy WebLinkAbout0039982-HVAC 5•0--e7
CITY OF OSHKOSH N 39982
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG 'p ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS fie cu, /son 5Y---• PLAN NO.
OWNER PQ fcj4 el
DESIGNER
USE /NATURE OF WORK H V az C r' I `i tec,c, `49117
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR Na v P-- 1j
9 Heat A/C Vent Fuel /System /K co, Heat Loss 4' 5 r/2 BTU'S 71;e0-0
i
ELECTRIC CONTRACTOR
Electric Serv. New Change Temp Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
v
FEES: Valuation Permit Fee Paid q°- et0 Park Dedication
ISSUED BY Date 1/4 Final /O.P. 916 11
In the performance(f this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE I I I
AGE WNER f/
DATE
ADDRESS 641 0
TELEPHONE